The AIS Guide to Blue Cross and Blue Shield Plans: 2010

Webinars on: Conducting Internal Investigations; Electronic Health Records; Star Ratings for Medicare Quality Bonuses; Medication Therapy Management


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NOTE: AIS's Health Business Daily will not be published Sept. 6 because of the Labor Day holiday. The next issue will be Sept. 7.

Sept. 3, 2010

Today’s issue of Health Business Daily is brought to you by AIS’s Health Reform Week.

Today's Featured Story

Many Large Employers Will Change Health Plans Despite Losing ‘Grandfather’ Status   
Reprinted from AIS's HEALTH REFORM WEEK

Many large employers are planning to alter their existing health plans for the 2011 plan year, despite the fact that they risk forfeiting “grandfather” status under the health reform law. Regardless of what is going on with health reform, large employers are paying the tab for their employees’ health insurance and need to focus now on controlling costs, Helen Darling, president of the National Business Group on Health, said at a news briefing Aug. 18....Read Full Story

Quote of the Day


“Because it is not physicians who are most affected by the decision [of whether an inpatient admission is medically necessary], they have less incentive to be highly educated on the rules. We’re asking them to become experts in an area where they don’t have a financial stake, so hospitals are forced to cajole and persuade doctors into becoming interested in billing rules that don’t affect them directly.”

Mitch Michelson, with Alston & Bird LLP, told AIS’s REPORT ON MEDICARE COMPLIANCE.

Buy the issue of REPORT ON MEDICARE COMPLIANCE in which this quote appeared (PDF transmitted immediately).

Today's Datapoint

Just

2,400…people had applied for the 22 high-risk insurance pools administered by the government as of mid-August, of the estimated 4 million people eligible for coverage through a high-risk pool, according to HHS data. 

 

Buy the issue of HEALTH PLAN WEEK in which this datapoint appeared (PDF transmitted immediately).

People on the Move

The California Public Employees’ Retirement System (CalPERS) promoted Kathy Donneson to chief of the Office of Health Plan Administration. Donneson has served as the assistant chief in Health Policy and Program Development for more than seven years.…Advanced Clinical, a vendor of clinical research services, appointed Julie Heneghan vice president. Heneghan has been in the outsourcing and staffing solutions industry for more than 20 years.

Today's Featured Health Business Job Opening

Sterling Life Insurance Co.
Case Manager
Atlanta

 

 



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Content questions or suggestions should be directed to BJ Taylor, editor of AIS's HEALTH BUSINESS DAILY, at bjtaylor@aishealth.com. If you are interested in sponsoring AIS's HEALTH BUSINESS DAILY, please contact Bailey Sterrett at bsterrett@aishealth.com.


AIS's HEALTH BUSINESS DAILY is copyrighted and protected by federal law. The re-use of its content is restricted (see below). However, you are permitted to forward this e-mail to as many of your friends and colleagues as you wish, or better yet have them sign up for their own copy at http://www.magnetmail.net/actions/ atlantic_subscription.cfm, where you can also sign up for AIS's Government News of the Week.Copyright © 2010 Atlantic Information Services, Inc. (AIS). All rights reserved. It is not permissible to include all or any portion of this content on any Web site, intranet or electronic network or in any print publication, without AIS's written permission in advance. Permission requests should be directed to rbiehl@aishealth.com.

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AIS E-Savings Club Weekly Specials

Upcoming Webinars

Proven Strategies for Conducting Internal Investigations
Tuesday, September 14, 2010
Click here for details.

Compliance Pitfalls to Avoid When Implementing Electronic Health Records
Thursday, September 16, 2010
Click here for details.

Star Ratings for Medicare Quality Bonuses:
Strategies for a New Era of
Performance-Based Measurement

Tuesday, September 21, 2010
Click here for details.

How More Robust Medication Therapy Management Can Improve Outcomes and Lower Costs
Tuesday, September 28, 2010
Click here for details.

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